Small Mine Safety Kit Part 2

PART 2:
SAFETY MANAGEMENT PLAN TEMPLATE
CONTENTS
No Program Tab
1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 11.0 12.0 13.0 14.0 15.0 16.0
POLICY & PLANNING ................................................................................ 1 RESPONSIBILITIES.................................................................................... 2 DOCUMENT CONTROL.............................................................................. 3 CONSULTATION......................................................................................... 4 RISK MANAGEMENT ................................................................................. 5 WORKPLACE INSPECTIONS & HAZARD REPORTING .......................... 6 WORK ENVIRONMENT & HEALTH SURVEILLANCE .............................. 7 SAFE WORK METHOD STATEMENTS ..................................................... 8 EMERGENCY PLANNING .......................................................................... 9 MAINTENANCE......................................................................................... 10 ACCIDENT & INCIDENT REPORTING..................................................... 11 CONTRACTOR MANAGEMENT .............................................................. 12 TRAINING.................................................................................................. 13 FITNESS FOR WORK ............................................................................... 14 HAZARDOUS SUBSTANCES & DANGEROUS GOODS15 REGISTERS .............................................................................................. 16
Note: The order in which the programs appear, and are undertaken, in Part 2: Mine Safety Management Plan Template is a suggested order for preparing your mine safety management plan (MSMP). You may wish to follow the suggested order of the programs that make up your MSMP or you may prepare the programs in an order that suits your mine.
The format and number of programs is structured so as to easily identify the needs and principles that make up the structure of your mine safety management plan. Again, if your feel you need more or less programs, then that is up to you.
Remember that the MSMP is about demonstrating your duty of care as required by common law and health and safety legislation.
1.0 POLICY & PLANNING
1.1 AIM: The aim of this program is to develop a health and safety policy which will guide management and employees in planning, developing and implementing their mine safety management plan (MSMP). It also includes developing a Mine Plan which will assist management in predicting and controlling workplace hazards. 1.2 WHAT: This policy is the basis of the MSMP and looks at what we believe are our main health and safety goals.
OH&S Policy
Goals
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
__________________________ Management __________________________ Employee Representative
_________________ Date _________________ Date
Doc: 1.0 Policy & Planning
Approver:
Date:
Program 1 - 1
1.3 WHO: This policy has been developed and reviewed jointly by management and employees. Both management and employees have signed off on this policy document displaying commitment and ownership. 1.4 HOW: At the site safety meeting the workforce will be involved in developing the goals of the policy. The policy is to be reviewed __________________ by a joint committee of
management and employees. 1.5 WHEN: Each year, at the site safety meeting we intend to use FORM 1A Yearly Safety Plan to record our safety targets for the year. We will review this at the end of each year to see if we have achieved our target. We will modify our following years targets to account for any shortcomings. The mine plan (FORM 1B) will be developed after reviewing the development consent conditions that relate to the operation. Our plan will include all rehabilitation requirements, basic design and staging processes that may affect workplace safety. The plan will be reviewed on an annual basis. 1.6 ACTION: The yearly safety plan (FORM 1A) is to be completed by ____________________ listing all safety goals for the year. 1.7 DOCUMENT CONTROL: A copy of this policy is to be displayed in the
________________________ with the master remaining in the MSMP. REFERENCES: (NSW) Mine Health & Safety Act 2004 Section 27(1), 30(1)(b), (NSW) Mine Health & Safety Regulation 2007 Clause 14(a) Minerals Industry Safety Handbook 1.4 Policies and Management Plans
Approver:
Date:
Program 1 - 2
FORM 1A - EXAMPLE
YEARLY SAFETY PLAN EXAMPLE

ACTIVITY / YEARLY TARGET ACTION BY MAR MAY NOV AUG OCT DEC APR FEB JAN JUN JUL SEP
Site Safety Toolbox Meetings Form 4A Review Induction Process Form 12C Review Employee Training / Competency Register Form 13B PPE Audit Form 6D & Register No: First Aid Kit Audit Lifting Gear Inspection Register No: Electrical Equipment Tagging Register No: Fire Fighting Equipment Testing Register No: Fire Extinguisher Training Review of Hazardous Substance Register Register No: Collection of Daily Mobile Plant PreStart Checklist Form 10B Undertake Mock Emergency Drill Review of Mine Safety Management Plan Review MSMP program & SWMS (one per month) Complete General Workplace Inspection Checklist Form 6D Review Mine Plan - Form 1 B Prepare DPI Reports (1/4 report form)
Completed / Signed Off
Approver:
Date:
Program 1 - 3
FORM 1A
YEARLY SAFETY PLAN Year __________

ACTIVITY ACTION BY MAR MAY NOV AUG OCT DEC APR FEB JAN JUN JUL SEP
Site Safety Toolbox Meetings Form 4A Review Induction Process Form 12C Review Employee Training / Competency Register Form 13B PPE Audit Form 6D & Register No: First Aid Kit Audit Lifting Gear Inspection Register No: Electrical Equipment Tagging Register No: Fire Fighting Equipment Testing Register No: Fire Extinguisher Training Review of Hazardous Substance Register Register No: Collection of Daily Mobile Plant PreStart Checklist Form 10B Undertake Mock Emergency Drill Review of Mine Safety Management Plan Review MSMP program & SWMS (one per month) Complete General Workplace Inspection Checklist Form 6D Review Mine Plan - Form 1 B Prepare DPI Reports (1/4 report form)
Completed / Signed Off
Approver:
Date:
Program 1 - 4
FORM 1B - EXAMPLE
Example of Mine Plan

N
Property Boundary
8m
Lunch Haul Road Room
45o 5m
STAGE 2 STAGE 1
Parking
Final Rehabilitation
Gradient 1:10 STAGE 5 STAGE 3

Truck Loading
Width 5.0 m Bunding 1.5 m
Stockpile Area
Traffic Flow
Haul Road design
STAGE 4
Dam
Stage 1 Floor sloping away from face to dam Stage 2 5000 m3, fire east, cut haul road 1:10 Stage 3 10,000 m3, fire east, strip overburden on stage 4 Stage 4 15,000 m3, fire north, strip stage 5, batter final edge to 45 degrees Stage5 15,000 m3, final batter 45 degrees, boundary clearance of at least 10 metres NOT TO SCALE Rehabilitation All faces must be grassed, with benches directing water to sediment dam
Normal Working Design Face Height < 12 m Bench width > 5 m All benches bunded 1.5m Stripping 2 m overburden
Drawn By : _________________ Approved By: _______________ Date: ______________________
Approver:
Date:
Program 1 - 5
FORM 1B
Mine Plan - _______________ (mine name)

Property Boundary
Final Rehabilitation
Haul Road design
Stages -
Normal Working Design
Rehabilitation -
Drawn By : _________________ Approved By: _______________
NOT TO SCALE
Date: ______________________
Approver:
Date:
Program 1 - 6
2.0 MANAGEMENT STRUCTURE including RESPONSIBILITIES
2.1 AIM: The objective of this program is to document the management structure for the mine and give health and safety responsibilities to each position within the structure and to ensure all persons are aware of their roles and requirements. 2.2 WHAT: A management structure will be drawn, using FORM 2B, for each of the positions on the site. A list of responsibilities for each of the listed positions will be created (on FORM 2A) and discussed with each employee. The register, FORM 2C will be used to record persons occupying those positions currently and for the past 5 years. 2.3 WHO: ____________________ will be responsible for identifying and recording this information. 2.4 HOW: Meetings will be held with the employees to consult and set up the responsibilities for the above positions. We will include the relevant sections of the governing
legislation in each position description. 2.5 WHEN: The site safety meeting will be used as the forum for discussions. 2.6 ACTION: Responsibilities will be set up for the above positions and recorded using FORM 2A. Employees, contractors and visitors will be told of these responsibilities during their induction (see Program 12). 2.7 DOCUMENT CONTROL: The responsibilities for each of the positions are to remain part of this MSMP. Changes to this program must be approved by the mine operator and recorded in the document control master list (FORM 3A). REFERENCES: (NSW) Mine Health & Safety Act 2004 Subdivision 3, Section 50, 55, 56, 59, 60 Minerals Industry Safety Handbook 1.3 Responsibilities and Accountabilities
Doc: 2.0 Responsibilities & Accountabilities
Approver:
Date:
Program 2 - 1
FORM 2A
Responsibilities & Accountabilities

Operator / Management
___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________
Production Manager ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
Approver:
Date:
Program 2 - 2
Supervisors ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Employees ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Contractors & Sub Contractors ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
Approver:
Date:
Program 2 - 3
Visitor ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
Approver:
Date:
Program 2 - 4
FORM 2B
MANAGEMENT STRUCTURE
Mine Holder
___________________
Mine Operator
___________________
Production Manager ___________________
CONTRACTORS
Supervisor/Team Leader ___________________
Supervisor/Team Leader ___________________
Electrician ___________________
Shotfirer ___________________
Employee
Employee
___________________
___________________
Maintenance ___________________
Driller ___________________
Employee
Employee
___________________
___________________
OTHER ___________________ ___________________
Approver:
Date:
Program 2 - 5
FORM 2C
Position
Register of persons occupying positions in the Management Structure

Occupants details Name Date of Birth Bill Bloggs 27/05/1963 Start Date End Date Certification/Permit/Licence Details
eg Production Manager
01/09/2008
Production Manager Permit number 007
Approver:
Date:
Program 2 - 6
3.0 DOCUMENT CONTROL
3.1 AIM: The aim of this program is to ensure that all MSMP documents are maintained and controlled in a consistent manner. This will ensure that they are current, approved for use and available for training purposes at all times. 3.2 WHAT: All MSMP documents will be controlled in accordance with this program. 3.3 WHO: _____________________ is responsible for maintaining the Document Control Master List. They will also be responsible for issuing and filing of documents. The most senior person in the management structure (Section 2.0) is required to sign off on all documents approving their use. This person is the approver at the bottom of each document. 3.4 HOW: All documents referred to will have the following written on the bottom of each page, (footer). a. name of document b. date it was written or reviewed c. initial of the most senior person in the management structure d. page number 3.5 WHEN: All MSMP documents will be approved for use and entered on the Document Control Master List (FORM3A) prior to distribution (eg inspection forms, induction sheets and site rules). Old documents are to be removed from circulation and filed where necessary. We intend to keep/ store most of our documents for a minimum of 5 years. 3.6 ACTION: All programs, procedures, plans, registers, inspections and forms associated with this MSMP are to be recorded in the Document Control Master List (FORM 3A). As new documents are developed in the mine safety management plan the Document Control Master List (FORM 3A) will be updated.
Doc: 3.0 Document Control
Approver:
Date:
Program 3 - 1
When programs or parts of programs are reviewed the Document Control Master List (FORM 3A) will be updated stating the program, section and page number of the program or document, the date the reviewed document was issued, changes made to the document and signed off by the responsible person. 3.7 DOCUMENT CONTROL: The Document Control Master List (FORM 3A) will be filed in ______________________, located _______________________. REFERENCES: (NSW) Mine Health & Safety Act 2004 Subdivision 6 Keeping of records and reporting (NSW) Mine Health & Safety Regulation 2007 Clause 12(d), 14(h) Minerals Industry Safety Handbook 1.1 Keeping Records, 1.2 Controlling Records
Approver:
Date:
Program 3 - 2
FORM 3A
DOCUMENT CONTROL MASTER LIST

Document Title eg Inspection sheet SWMS Safety Policy Section # Modified Form 6B 8.0 SWMS Policy 64 84 All Page # Issue Date 30/07/01 08/09/01 01/01/09 Change made Added new gyro to list New SWMS for Blasting Annual Review Sign Off A McD A McD A Mc D
Approver:
Date:
Program 3 - 3
3.0 DOCUMENT CONTROL

DOCUMENT IS NEEDED TO CARRY OUT WORK
Refer to _________________ Document Controller
Yes
Does the document need to be revised or updated???
Yes
Does the document exist????
No
Document is revised or updated No
Refer to _________________ Document Controller
Document is recorded on FORM 3A "Document Control Master List" Check FORM 3A "Document Control Master List" for latest revision Document is re-issued
Obtain/Design new document
Get ____________ to approve/initial document Old document is removed from MSMP & filed in _______________ Document is recorded on FORM 3A "Document Control Master List"
Tell ________________ Document Controller
No
Is the document you about to copy or use match the document list in FORM 3A "Document Control Master List"????
Document is issued
Yes
Make copies and/or use the document
File Completed Documents) In ___________________
Approver:
Date:
Program 3 - 4
4.0 CONSULTATION
4.1 AIM: The aim of developing a consultation program is to assist in ensuring that all parties at the mine are actively involved in achieving occupational health and safety goals. By promoting an open line of consultation we will ensure that everyone is aware of their responsibilities and has the chance to participate in developing and implementing the mine safety management plan. 4.2 WHAT: The consultation program will allow all people on site to openly discuss safety related matters and will be mainly based around our SITE SAFETY MEETING / TOOLBOX MEETING. Other forms of consultation and communication that will take place include: ________________________, _______________________ & __________________ 4.3 WHO: The person responsible for organising the site safety meeting and ensuring that it takes place is _______________________. The mine has elected __________________________ to chair the meeting. The mine has elected _________________________ as the person who will be responsible for taking the minutes of the meeting. All personnel are required to attend the meeting. Contractors will also be encouraged to attend. 4.4 HOW: The site safety meeting will be held using the Site Safety Meeting Record / Toolbox Meeting (FORM 4A) or recorded in the rear of the daily diary, while following the agenda items of FORM 4A. This form outlines the topics that will be discussed during the meeting and will act as the minutes for the meeting. All site personnel are encouraged to provide the meeting organiser with issues to be discussed prior to the meeting.
Doc: 4.0 Consultation
Approver:
Date:
Program 4 - 1
4.5 WHEN: The site safety meeting / toolbox talk will be held _______________________. If the meeting cannot be held at this time it will be held on the next working day after the meeting date. A site safety meeting may also be held if one of the following events occurs: 1. When a risk assessment is carried out and a decision about the controls required is to be undertaken 2. When new or amended procedures for monitoring risks are introduced 3. When decisions about the facilities for welfare are made 4. When changes that affect health, safety and welfare are made to: a. premises b. systems or methods of work c. plant d. substances 5. When decisions about procedures for consultation are made 6. _______________________________________________ 7. _______________________________________________ 4.6 ACTION: Any issues that are raised in the meeting that require work to improve the level of safety will be entered onto an action plan or into the daily diary. 4.7 DOCUMENT CONTROL: A copy of the minutes will be posted on the notice board for a period of ______ weeks. After removing the minutes a copy will be filed ______________________. REFERENCES: (NSW) Mine Health & Safety Act 2004 Section 31, 32(a), 32(b), 39, (NSW) Mine Health & Safety Regulation 2007 Clause 14(f)(ii) (NSW) Occupational Health & Safety Act 2000 Division 2 (NSW) Occupational Health & Safety Regulations 2001 Chapter 3 (NSW) WorkCover Code of Practice OHS Consultation Minerals Industry Safety Handbook 2.1 Communication and Consultation
Approver:
Date:
Program 4 - 2
DATE: PRESENT
FORM 4A Site Safety Meeting Record/Toolbox Meeting TIME: LOCATION: NAME POSITION
APOLOGIES
OBSERVERS
AGENDA ITEM 1. Welcome & Apologies
ACTION
TIME FRAME
2. Minutes from last meeting agreed as a true and accurate record 3. Report on action items (from last meeting)
Yes
No
4. New Business
5. Review of hazards / incidents since last meeting (check diary)
Approver:
Date:
Program 4 - 3
FORM 4A Site Safety Meeting Record/Toolbox Meeting AGENDA ITEM ACTION TIME FRAME 6. Review of any Safety Alerts
7. Review any results of any workplace safety inspections (check diary)
8. Review of one SWMS and one MSMP program
9. General Business
10. Next meeting Distribution of these minutes Date: Name: Name:
Date & Time: 1. File
Where: 2. Notice Board
Person taking minutes Signature: Date: Most Senior Person Signature: Date:
Approver:
Date:
Program 4 - 4
4.0 CONSULTATION
SITE SAFETY MEETING / TOOLBOX TALK IS TO BE CARRIED OUT
Have all persons been informed of upcoming meeting?
No
Inform all persons including contractors about meeting
Yes Encourage people to provide issues to be discuss prior to the meeting?
Are previous meeting records FORM 4A available?
No
Get previous minutes filed in _______________
Yes
Hold meeting record minutes on FORM 4A
Enter issues raised requiring improvement onto an action plan or daily diary
Post copy of minutes on the notice board
File copy of minutes in ____________
Approver:
Date:
Program 4 - 5
5.0 RISK MANAGEMENT
5.1 AIM: The aim of this program is to develop a process that will continually allow us to identify work hazards, to rank the risks of these hazards, implement controls to remove or reduce the risk to the lowest practicable level and review these hazards to ensure they are maintained at the lowest reasonable risk. 5.2 WHAT: The risk management process will consistently identify hazards at our mine by way of applying the process to all of our activities. following: Reporting hazards immediately as found Agenda item at safety meeting / toolbox talk Regular Workplace Inspections Safe Work Method Statements This is done by way of the
(FORM 6E or Daily Diary) (FORM 4A) (FORM 6B or 6D) (FORM 8A)
Reviewing hazards with contractors during (FORM 12 C) inductions
5.3 WHO: The risk management program will be used by all people who work at our mine. It is the responsibility of _____________________ to explain to the employees and contractors the importance of using our risk management program. 5.4 HOW: We intend to use our Workplace Inspection Form (FORM 6B or 6D) as the centrepiece of our risk management program. __________________ and
_________________ will conduct a whole of site hazard identification process as the first step in developing our mine safety management plan. Once we have identified our potential hazards we intend to apply our risk assessment program to these hazards. This consists of systematically assessing the hazards against our risk matrix, which determines the appropriate response required to protect the health and safety of workers on site. When a hazard is identified the risk associated with it is determined by looking at the likelihood of a hazard to result in injury and the potential consequence or severity of the injury.
Doc: 5.0 Risk Management
Approver:
Date:
Program 5 - 1
RISK ASSESSMENT RATING Risk = Likelihood (Probability) x Consequence

Step 1 Assess the Likelihood Step 2 Assess the Consequences
L1 L2 L3 L4 L5
Happens every time we operate Happens regularly (often) Has happened (occasionally) Happens irregularly (almost never) Improbable (never)
Almost Certain Likely Possible Unlikely Rare
Common or repeating occurrence Known to have occurred has happened Could occur or heard of it happening Not likely to occur Practically impossible
C1 C2 C3 C4 C5
Fatality Permanent disability Medical/hospital or lost time First aid or no lost time No injury
Catastrophic Major Moderate Minor Insignificant
RISK ASSESSMENT MATRIX Risk Rank

Likelihood x Consequence
L1 Almost Certain
L2 Likely
L3 Possible
L4 Unlikely
L5 Rare
C1 Catastrophic
11
RISK RATING
C2 Major
12
16
High Risk
16
C3 Moderate
13
17
20
Medium Risk
7 15
C4 Minor
10
14
18
21
23
Low Risk
16 25
C5 Insignificant
15
19
22
24
25
(Note: we conduct our risk assessment with the current controls in place)
Approver:
Date:
Program 5 - 2
5.5 CONTROLLING THE HAZARD: Once the hazard has been identified and risk rated, the following action must be taken. It is essential that we place the highest possible control once we have identified the hazard, as per 5.6 Hierarchy of Controls.
HIGH RISK
Stop work Barricade area or take short-term action Select highest possible control within your capabilities Immediately notify supervisor Record in daily diary / hazard form Fix within ______________ Discuss at next safety meeting Other ________________________________
MEDIUM RISK
Take short term action Select highest possible control within your capabilities Notify supervisor at end of shift Record in daily diary / hazard form Fix within ______________ Discuss at next safety meeting Other _________________________________
LOW RISK
Select highest possible control within your capabilities Fix within ______________ Review during next workplace inspection to ensure still low Other ________________________________
Approver:
Date:
Program 5 - 3
5.6 HIERACHY OF CONTROLS: When we select a control for an identified hazard, we will always choose the highest measure of control possible. Best Control Elimination Is it possible to eliminate the hazard altogether?
Substitution
Is it possible to replace the substance or, equipment with something less hazardous? Is it possible to stop persons from interacting with the hazard eg machine guarding, remote handling? Where people have to interact with a hazard, is it possible to engineer a less hazardous solution eg stairs instead of a ladder, ventilation devices, refuel machinery from the ground? Is it possible to lessen the exposure of people through changing the way the job is done, rotating people through the job, administrative controls such as training, high risk permits? Last resort is PPE appropriate to the type, level of hazard and has it been selected correctly?
Isolation
Engineering
Administrative
Worst Control
PPE
If no single control is sufficient, a combination of the above controls will be put in place to minimise the risk to the lowest level that is reasonably practical. 5.7 WHEN: This process of identifying hazards, assessing risk and implementing controls underpins all of our programs and will be applied to all of our work. Many of our documents include our risk rating categories eg Workplace Inspection (FORM 6B), Contractor & Visitor Induction (FORM 12C). All people on site will apply these categories when formally assessing hazards or during their normal work practice. Risk assessments should be undertaken if one of the following events occurs: 1. before setting up and using any new premises as a place of work 2. when planning work processes 3. before installation, erection, commissioning or alteration of plant 4. whenever changes are made to: a. the workplace b. the system or method of work (SWMS) 5. before hazardous substances are introduced into a place of work 6. when new or additional health and safety information relevant to our business becomes available. eg safety alerts
Approver:
Date:
Program 5 - 4
5.8 ACTION: If during the course of any normal activity on site, any person is made aware of a hazard, then that person will apply our sites risk management strategy and will take the necessary actions to reduce the hazard to the lowest practicable level. If a person identifies a hazard and is not able to control the hazard immediately then it should be reported as per section 5.2 5.9 DOCUMENT CONTROL: The concept of risk management has been included in the majority of our documentation. Therefore, all documentation will be filed as per the document control section of each program.
REFERENCES:
(NSW) Mine Health & Safety Act 2004 Section 30(2), 56(d), 56(e), 60(b), 60(c), (NSW) Mine Health & Safety Regulation 2007 Clause 4, 14(c), Part 4 OH&S risk assessments relating to prescribe hazards, Division 3 Documentation of OH&S risk assessments (NSW) Occupational Health & Safety Act 2000 Section 8, 9 & 10 (NSW) Occupational Health & Safety Regulations 2001 Clause 5, 9 to 12, 16, 34 to 38, Minerals Industry Safety Handbook 1.5 Risk Management NSW DPI MDG 1010 Risk Management for the Mining Industry, MDG 1014 Guide to Reviewing a Risk Assessment of Mine Equipment and Operations
Approver:
Date:
Program 5 - 5
6.0 WORKPLACE INSPECTION & HAZARD REPORTING
6.1 AIM: The aim of this program is to develop an inspection system to identify and report all hazards found in the workplace. These inspections will be completed regularly and will use our risk management process to identify, assess and control hazards. It will also include a hazard report form (FORM 6E) which can be used at any time. Our inspection program includes all hazards prescribed in the mining legislation. 6.2 WHAT: To ensure that workplace inspections cover all areas of the work place, the site has been divided into the following inspection areas: (see example PLAN 6C) ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Mobile plant and all fixed equipment will be inspected prior to operation in accordance with program 10, (FORM 10B & 10 C). Contractors and sub contractors will be monitored on a regular basis, as described in the Inspection Matrix (FORM 6A). This will include as a minimum compliance with Safe Work Method Statements (SWMS), inspections of their plant and competency checks. 6.3 WHO: Inspections will be conducted as per the Inspection Matrix (FORM 6A). 6.4 HOW: The hazards found during each inspection will be recorded on our Workplace Inspection (FORM 6B or 6D). This form requires the following actions to take place. a) inspect the plant/equipment as stated on the form looking for any hazards, defects or missing components, (eg guarding). b) record the condition of the plant/equipment in area provided c) record any hazard noticed in area provided d) allocate a risk rating for each hazard found (using the risk assessment program) e) comment on the action taken (short term and long term) f) sign and date the form (remember that high and medium risks are transferred to the daily diary or action plan).
Doc: 6.0 Workplace Inspections
Approver:
Date:
Program 6 - 1
Any hazards found during the course of normal duties, not as a result of a planned workplace inspection, should be recorded on FORM 6E Hazard Reporting Form or written in the daily diary. 6.5 WHEN: Inspections will be conducted as per the inspection matrix (FORM 6A). 6.6 ACTION: Completed forms are to be signed off by the person who conducted the inspection and given to the ________________________. High and medium hazards found during the inspection, along with the actions required to control these hazards are to be recorded in the daily diary or an action plan. The daily diary or action plan is to be signed off as each action is completed. 6.7 DOCUMENT CONTROL: All inspection forms are to be recorded on the Document Control Master List, (FORM 3A). Completed forms are to be filed in ________________________ located _________________________.
REFERENCES (NSW) Mine Health & Safety Act 2004 Section 14(b), 30(2)(a), 56(b) (NSW) Mine Health & Safety Regulation 2007 Clause 14(c), (NSW) Occupational Health & Safety Regulation 2001 Clause 9 (NSW) WorkCover Advice Sheet 5 Reporting Safety Minerals Industry Safety Handbook 1.5 Risk Management, 2.3 Workplace Inspection
Approver:
Date:
Program 6 - 2
FORM 6A
WORKPLACE INSPECTION MATRIX

Area eg Quarry Contractors Frequency of Inspections daily monthly Inspection to be conducted by Operator P.M Documentation used Visual Inspection sheet # ?
Approver:
Date:
Program 6 - 3
FORM 6B
WORKPLACE INSPECTION
Area:__________________________________
Completed by:____________________________
Plant / Equipment Item Inspected Tick if O.K
Date:______________
Identified Hazard or Condition Risk Score Comment Recorded in Diary
eg Gyro crusher
Guarding Access Way Broken Handrail minor Medium To be fixed week ending 30/07/01
Approver:
Date:
Program 6 - 4
PLAN 6C
Example of Inspection Areas

Front Entry
Crusher
Screen Open Cut
Office Stockpile Area
Lunch Room Public Loading
Gen Set
Fuel Store
W/ Shop
Dam
Pump
Suggested Inspection Areas :

Area 1 Open Cut Area 2 Crusher , Screen & Stockpiles
Doc: 6.0 Workplace Inspections Approver:
Area 3 W/Shop, Gen Set, Pump, Dam & Fuel Area 4 Office, public areas (including roads)
Date: Program 6 - 5
FORM 6D
INCLUDE NEW IGA _10 Prescribed Hazards
Approver:
Date:
Program 6 - 7
FORM 6E
HAZARD REPORT FORM

NAME: DATE / TIME REPORTED: DEPARTMENT: SUPERVISOR: HAZARD (DETAILS / LOCATION):
IMMEDIATE ACTION TAKEN:
RECOMMENDED ACTION TAKEN:
RISK ASSESSMENT: LIKELIHOOD: CONSEQUENCE:
Risk Rank:
FOLLOW UP ACTION:
HIGH
MEDIUM
LOW
(circle)
REVIEWED AT MEETING / TOOLBOX DATE: FEEDBACK TO PERSON (who gave the report): DATE COMPLETED:
Approver:
Date:
Program 6 - 8
6.0 WORKPLACE INSPECTION

DETERMINE WHAT AREA OR WORKPLACE REQUIRES AN INSPECTION FROM WORKPLACE INSPECTION MATRIX (FORM 6A) Record details of inspection using "PreStart Check Sheet" (FORM 10B or 10C) for that specific plant
Is this a pre-start inspection?
Yes
Record details of inspection using "Workplace inspection" (FORM 6B) OR utilising Inspection IGA_10 (FORM 6D) General Workplace Inspection Checklist
Were any problems or Hazards found?
No
Yes
Record all problems or HAZARDS using "PreStart Check Sheet" (FORM 10B or 10C)
Were any problems or Hazards found?
Yes
Follow the program 5.0 RISK MANAGEMENT
Notify ________________ Supervisor of Problem or HAZARD as per FORM 10B or 10C
No
Follow the program 5.0 RISK MANAGEMENT No
Completed Inspection Forms are handed to ________________ and are filed _________________
Completed "Pre-Start Check Sheet" (FORM 10B or 10C) are handed to ________________ and are placed inside file/book for that specific plant "Record of Maintenance Work" (FORM 10D)
Approver:
Date:
Program 6 - 9
6.1 HAZARD IDENTIFICATION & REPORTING

PERSON(S) (ORGINATOR) IDENTIFIES HAZARD Follow the program 5.0 RISK MANAGEMENT
HIGH
Is the hazard HIGH RISK MEDIUM RISK LOW RISK
LOW
MEDIUM Follow the program 5.0 RISK MANAGEMENT STOP WORK BARRICADE AREA Select highest possible control within your capabilities Complete the hazard report FORM 6E Follow the program 5.0 RISK MANAGEMENT Take short term action Select highest possible control within your capabilities Complete the hazard report FORM 6E
Follow the program 5.0 RISK MANAGEMENT Select highest possible control within your capabilites
Inform ______________ Supervisor IMMEDIATELY
Inform ______________ Supervisor At end of shift
Supervisor to assess & record hazard and actions taken in Daily Diary or Action Plan Yes Discuss hazard with Senior Person on site and relevant people
Does the hazard require further action?
No Rectify hazard with highest possible control Elimination Substitution Isolation Engineering Administrative PPE
Record action taken in Daily Diary or Action Plan & Add as agenda item at next safety meeting (FORM 4A)
Approver:
Date:
Program 6 - 10
7.0 WORK ENVIRONMENT & HEALTH SURVEILLANCE
7.1 AIM: The aim of our work environment program is to identify and assess all potential work environment hazards at the mine. After assessing these hazards, controls will be
developed, including ongoing monitoring programs. 7.2 WHAT: The initial site inspection that was conducted under Program 5.0: Risk Management, has been used as the starting point to assess whether our site has any work environment hazards. During this inspection we identified the following hazards that are applicable to our site: Hazard Source Dust _______________________ Vibration _______________________ _______________________ Noise _______________________ Radiation _______________________ _______________________ Lighting _________________ Poor Ergonomics _________________ Hazard Source _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _____________________ _____________________
Hazardous Substances Other
_____________________________________________________
________________________________________________________________
7.3 WHO: The _______________________ is responsible for completing the Work Environment Hazard Management Matrix (FORM 7A) for each of the work environment hazards that were identified during the site inspection. 7.4 HOW: By completing the Work Environment Hazard Management Matrix (FORM 7A) we will develop a control and monitoring program for each of the identified hazards.
Doc: 7.0 Work Environment & Health Surveillance
Approver:
Date:
Program 7 - 1
Once the control and monitoring program is developed, the site inspection sheet used in Program 6.0 (FORM 6B) will be modified to include a control checklist for the work environment hazards. Immediate controls that are required will be entered onto an action plan or in the daily diary. 7.5 WHEN: Work environment hazards Inspections: The frequency of work environment inspections will be as per the schedule for workplace inspections (the work environment issues will be included on the workplace inspection checklist). Monitoring: The frequency of the monitoring program will be as per the schedule determined in the Review column of FORM 7A. Health surveillance Health surveillance will be carried out according to the schedule in the column health surveillance of FORM 7A. 7.6 ACTION: If during the course of normal daily activities or during a workplace inspection, anyone becomes aware of a work environment hazard, then the __________________ will be notified and the hazard will be recorded on an action plan or in the daily diary. The person identifying the hazard will apply our sites risk assessment process and will act according to its outcome. 7.7 DOCUMENT CONTROL: All documentation relating to the program (eg FORM 7A) will be filed _______________________________. Any health surveillance information will be treated as strictly confidential and will be filed on the employees personal file, using the Health Surveillance Register.
Approver:
Date:
Program 7 - 2
REFERENCES (NSW) Mine Health & Safety Regulation 2007 Division 4 Health surveillance of person at work (NSW) Occupational Health & Safety Regulation 2001 Clause 9(2)(i)(vi), Division 2 Lighting, Division 3 Heat and cold, Division 4 Noise management, Division 5 Atmosphere, Clause 189 Ultraviolet radiation particular risk control measures, Clause 197(2), Clause198 exposure to radiation particular risk control measures NSW WorkCover Code of Practice Noise management and protection of hearing at work NSW WorkCover Code of practice Work in hot and cold environments Minerals Industry Safety Handbook 4.8.5 Radiation, 4.9 Vibration, 4.10 Noise, 4.11 Workplace Temperatures, 4.12 Dust, 4.13 Ventilation
Approver:
Date:
Program 7 - 3
FORM 7A - Example
WORK ENVIRONMENT - HAZARD MANAGEMENT MATRIX
Hazard Health effects Dust
Information * legislation *guidelines .respiratory OHSR cl 51 .lung cancer MHSR 86 Health .silicosis Surveillance Guidelines for Safe Mining 3.1.5.1
Identify source 1. drilling 2. crushing 3. screening 4. drying 5. loading 6. roads
Measurement
Assess risk
Controls
personal dust monitoring at each source max allowable concentrations:
engineer control at each source by: 1. extraction Near or>limit 2. suppression High with water 3.remove operator NOHSC from source eg Inhalable :10 mg/cu m Air conditioned Respirable:3 mg/cu m cabin Silica: 0.1 mg/cu m 4. dust mask
2. Health Surveillance when controls in depending on place re- monitor results of to gauge monitoring effectiveness of determine which controls. people require Depending on medical check results determine of lungs: new monitoring any problems frequency eg move people 1 to 3 years from job, regular re-examination
Review 1. Re-monitor
Noise
Approver:
Date:
Program 7 - 4
FORM 7A
WORK ENVIRONMENT - HAZARD MANAGEMENT MATRIX

Information * legislation *guidelines Identify source Measurement Assess risk Controls Review 1. Re-monitor
Hazard
Health effects
2. Health Surveillance
Approver:
Date:
Program 7 - 5
8.0 SAFE WORK METHOD STATEMENTS

8.1 AIM: The aim of this program is to establish a set format that will be used when tasks require the development of a Safe Work Method Statement (SWMS). The
development of safe work method statements will enable all people on site to carry out jobs in the same, safe, efficient manner. SWMS will be developed by identifying the hazards, assessing the risks, documenting and implementing the controls and providing supervision to ensure people comply with the procedures. 8.2 WHAT: We intend to develop SWMS for the following activities. Note: (SWMS should be developed for all non routine tasks conducted in a non routine work place or where the risk for the task is found to be HIGH or MEDIUM).
SWMS (to be developed) eg Removing oversize material from the crusher
Date (for completion)
Who (is responsible)
8.3 WHO: The _____________________________ will organise the development of SWMS. He or she will request people that are involved in the task to assist in the preparation of the SWMS. Wherever possible at least two people will be involved in the development process.
Doc: 8.0 Safe Work Method Statements
Approver:
Date:
Program 8 - 1
8.4 HOW: We have chosen to use the format in (FORM 8A) to complete our SWMS. This format combines the process of identifying hazards, assessing risk and implementing controls, into one document. After a task has been selected for a SWMS, the person responsible for organising the group will obtain a copy of FORM 8A and will assemble the team at the place of the task. Once all steps have been identified the process of highlighting hazards will be completed, with an assessment of risk noted. In each case a control method will be chosen, remembering that we will always attempt to apply the hierarchy of controls. The _______________________ will then be responsible for documenting the SWMS and ensuring it is included in the training program and discussed at the next site safety meeting. Where an activity is classified as Hot Work, Working at Height or a Confined Space Entry (FORM 8B) will be used in addition to any existing SWMS. This form outlines key controls that must be in place before a task is undertaken. 8.5 WHEN: SWMSs will be developed as a method to control risks associated with hazards found at the mine. We will also continue to develop SWMSs at a rate of __________ per month, until we have covered all high and medium risk activities at the mine as well as any SWMS required under the OH&S Act & Regs, MH&S Act & Regs. 8.6 ACTION: Where the process of developing a SWMS highlights a hazard that is high or medium it will be recorded in the daily diary or action plan for completion. 8.7 DOCUMENT CONTROL: All SWMSs will be filed in the SWMS register located _____________________. This register will be readily available to the workforce and will include an index at the front. REFERENCES (NSW) Mine Health & Safety Act 2004 Section 63(2)(f), (NSW) Mine Health & Safety Regulation 2007 Clause 4(d), Clause 56, Clauses 63 to 65, Clause 66(1) (NSW) Occupational Health & Safety Regulation 2001 Clause 9(2)(b), NSW WorkCover Guidelines for Writing Work Method Statements in Plain English
Approver:
Date:
Program 8 - 2
FORM 8A SAFE WORK METHOD STATEMENT (PART 1 OF 2)

Mine Name: Signed Off:
Risk Rank
Likelihood x Consequence
L1 Almost Certain
L2 Likely
L3 Possible
L4 Unlikely
L5 Rare
C1 Catastrophic
11
RISK RATING
Project/Task/Job:
Date:
C2 Major
12
16
High Risk
16
C3 Moderate
13
17
20
M edium Risk
7 15
SWMS ID:
Accepted:
C4 Minor
10
14
18
21
23
Low Risk
16 25
C5 nsignificant
15
19
22
24
25
(Note: we conduct our risk assessm ent with the current controls in place)
Step
Procedure (in steps)
Hazards
Risk Ranking (H/M/L)
Controls
1.
Approver:
Date:
Program 8 - 3
FORM 8A SAFE WORK METHOD STATEMENT (PART 2 OF 2)

Personal Qualification & Experience: Personnel, Duties & Responsibilities: Training Required to Complete Work:
Engineering Details/Certificates/Approvals:
Codes of Practice, Legislation:
Plant/Equipment:
Maintenance Checks:
Read & Signed By Persons Using this SWMS
Approver:
Date:
Program 8 - 4
FORM 8B
High Risk Permits

Permit Number: Type: (Please circle) A. Hot Work Date: Completed by: C. Confined Space
B. Working at Height
Task to being performed: (describe) Period of permit: (day) Time: Yes / No From To
Does a SWMS already exist:
(if yes, review SWMS and proceed by answering related questions)
1. Task Assessment (Must be completed for all high risk permits)
Yes
No
Has a Risk Assessment been completed for the specific task?: Risk Rating (H/M/L) Did the risk assessment highlight a need for a Safe Work Method Statement?
(If a SWMS already exists please reference that document and complete the relevant section of this form, if not a SWMS should be developed)
Have all persons that will be affected by this work been notified? Are you required to isolate before starting?
A. Hot Work (includes welding, cutting & grinding outside designated hot work areas, excluding open areas in plant away from combustible materials). Does a fire ban apply to the location? (You may need to consult the local fire brigade) (Fire rating for the day is ) Yes No
Is suitable fire fighting equipment available where the task is being performed?
(Please list)
Are flammable and combustible items removed before commencing?

(No flammable or combustible items within metres of hot work activities).
Do you need to wet down combustible areas before commencing hot works?
(If yes who will complete this task) Record_____________
Do you need to purge or ventilate for flammable liquids or vapours? Do you need a welding screen or welding blanket to complete the task?
(if yes please list)
Do you need to barricade or sign post the area before commencing?

(if yes please list)
What PPE is required to perform the task?

(Please list)
Does the work area need to be hosed down after the task?
(Who will complete this task) Record _________________
Do you need to monitor the area after the task has been completed?
(If so who will complete this task and for how long) Record_________________
Approver:
Date:
Program 8 - 5
B. Working at Height (access or work at height, above 2 m or greater, that is not a normal place of work.
Yes
No
Are warning signs & barricades to restrict unauthorised access required?

(if yes please list what required and where)
Is an elevated work (EWP) required to complete the task?

Please note some EWPs require licences to operate
Is scaffolding required to complete the task?

Remember scaffolding must be erected/dismantled by certified scaffolders to Aust. Standards
Is Personnel Fall Prevention Equipment required for the task? (harness & lanyards)
You must consider adequate anchorage points, potential loadings and inspection checks
Are persons able to attach and disconnect to the system without a risk of falling? Have you established safe access and egress to the work area? Have you considered falling objects and restricted areas?
No works to be conducted within (Please list) metres radius of working at height activities.
What PPE is required to perform the task? Have you considered an emergency response plan for recovering a person who may have fallen?
(Hang syndrome can have fatal consequences within minutes)
C. Confined Space (An enclosed or partially enclosed space that is not intended or designed
primarily as a place of work. It may also have an atmosphere which is harmful or have restricted entry or exit)
Yes
No
Is there restricted entry or exit to the work area? Are you required to conduct pre-entry atmospheric testing?
(if yes please list who, what is required and limits)
Are you required to conduct continuous atmospheric testing during the task?
(if yes please list who, what is required and limits)
Have you a designated standby person in constant communication for the task?
(if yes please list who will be the standby person and what is required of them)
Have you got retrieval/rescue equipment at the confined space location?

(if yes please list what equipment and who will be responsible)
Does the task require other high risk permits to be completed?

(Is the work being conducted outside or at height?)
During the task can you be affected by noise, chemicals/gases/fumes, vibration, flooding, thermal extremes or radiation? (Please circle and address in risk assessment) Will the task require manual handling?
(Many confined spaces have restricted workspace available)
Have you identified where you must isolate before starting?

(if yes please list who will be responsible for isolating the work area) What PPE is required to perform the task? (Please list)
Permit Approved by Supervisor: _________________________________ Date: _____________
Approver:
Date:
Program 8 - 6
FORM 8C HIGH RISK PERMIT REGISTER

Permit Number Date Type Activity/Description Approver
Approver:
Date:
Program 8 - 7
Approver:
Date:
Program 8 - 8
HIGH RISK PERMIT IS REQUIRED
Does the work involve hot work?
Hot work includes welding, cutting, and grinding outside of a designated work area, excluding open areas in plant away from combustible materials
Yes
A High Risk Permit (FORM 8B) is to be completed as part of the work process
No
8.1 HIGH RISK PERMITS

Is the work at heights or involve a height access? Access or work at height, above 2m or greater, that is not a normal place of work Yes A High Risk Permit (FORM 8B) is to be completed as part of the work process
No
Is entry to a confined space required?
An enclosed or partially enclosed space that is not intended or designed primarily as a place of work. It may also have an atmosphere which is harmful or have restricted entry or exit
Yes
A High Risk Permit (FORM 8B) is to be completed as part of the work process
No The work is to be undertaken in accordance with the MSMP. This may include the need to develop a SWMS Permit is Approved by EWP = Elevated Work Platform MSMP = Mine Safety Management Plan SWMS = Safe Work Method Statement __________________ And filed when job completed
Approver:
Date:
Program 8 - 9
9.0 EMERGENCY PLANNING
9.1 AIM: The aim of this program is to develop emergency response plans and procedures to prevent further injury to persons, damage to property or the work environment, in the event of an unplanned incident. 9.2 WHAT: Our emergency response plan will consist of: Procedure Our procedure (FORM 9A) has been developed to help in the control of emergencies and it includes the following incidents.
Fire Medical (injury) ______________________________ ______________________________
It has been posted _________________________, so that it is near communication and available to everyone on site.
Site Plan
Our site plan drawn on Form 9C is a diagram showing the items below that exist at our operation, (see plan 6C as an example).
work and storage areas, first aid equipment locations emergency muster points high wall, buildings, roads power isolation points
fuel and chemical storage areas fire fighting equipment access and egress points fixed plant emergency phones
It has been displayed at _____________________.
A letter, (FORM 9B) informing local emergency services of the operations existence will be distributed by the ___________________________. A copy of the site procedure and plan will be sent with this letter.
Doc: 9.0 Emergency Planning
Approver:
Date:
Program 9 - 1
First Aid Personnel
There are sufficient people trained to carry out first aid on site during each shift (First Aid Officers). These people will renew their training as required. A list (FORM 9D) will be posted beside all first aid equipment, with the names of the first aid officers. 9.3 WHO: The emergency response plan and procedure has been developed by ______________ after consultation with the workforce and local emergency services. 9.4 HOW: Our mine has identified our potential emergencies by way of the risk management program. After consultation with the employees, and where possible emergency
services using FORM 9A, the procedure and plan has been developed. Completed procedures will be communicated to the workforce through our safety meetings. 9.5 WHEN: The procedure will be tested by way of an emergency drill, _________ per year. 9.6 ACTION: Emergency procedures will be set-up and employees trained in the use of these procedures and their roles during an emergency. Letters, with a copy of the site plan, will be sent to all local emergency services. 9.7 DOCUMENT CONTROL: Emergency procedures and the site plan will be recorded on the Document Control Master List (FORM 3A). Originals are to remain part of this MSMP. REFERENCES (NSW) Mine Health & Safety Act 2004 Section 30(3)(b), Subdivision 4 Emergency management, Section 61, Section 67 (NSW) Mine Health & Safety Regulation 2007 Division 4 Emergency management (NSW) Occupational Health & Safety Regulation 2001 Clause 17 Minerals Industry Safety Handbook 2002 Chapter 2.5 Emergency Planning and Response
Approver:
Date:
Program 9 - 2
FORM 9A
EMERGENCY PROCEDURE
In the event an emergency KEEP CALM
DIAL 000 or 112(mobile)

1. Tell the operator which service you require and provide them with the sites details 2. If possible send a person to the front gate to direct Ambulance or Emergency Services Address:___________________________________________________ Nearest Cross Road:__________________________________________ Contact Name:______________________________________________ Contact Number:_____________________________________________ Further Information:___________________________________________ GPS Coordinates Lat:_______________ Long: _____________________ Nearest Ambulance Phone: _______________ Local Fire Brigade Phone :___________________
FIRE
Type of Fire Size of Fire Ensure all persons are accounted for If safe to do so remove all plant from the area
MEDICAL
No. of persons injured Type of emergency Type of injuries
OTHER
Ensure the area is made safe before attempting to render assistance.
Contact Management ___________ NOTE: Only attempt to extinguish the fire if safe to do so Contact the Department of Primary Industries Mine Safety Investigate Program 11
Contact Management ____________ NOTE :Once area is safe, complete DRABC (if trained) and give assistance Contact the Department of Primary Industries Mine Safety Investigate program 11
REMEMBER
QUICK RESPONSE CAN SAVE LIVES
Doc: 9.0 Emergency Planning Approver: Date: Program 9 - 3
FORM 9B Date: __________________
_______________________________ _______________________________ _______________________________ _______________________________
Dear Officers,
I am writing this letter to inform your station of an extractive industry we are operating within your station zone.
The attached page lists the following information:
1. 2. 3. 4. 5. 6. 7. 8.
name of operation and manager type of operation written directions to the operation, a map and site plan contact telephone numbers and names extraction taking place plant and equipment used to win and process the product the maximum number of persons that may be on site at the time of an emergency equipment on site to assist in the event of an emergency
The site is open ________________________________. When open the hours of operation are ___________________ to ___________________.
We would also like to extend an invitation to all station officers to visit the site for an inspection of the operation and review emergency procedures.
We hope this information may assist officers in the event of an emergency and look forward to further communication with your station.
I may be contacted by telephoning ________________________ for further information or to arrange a site visit.
Yours sincerely,
Approver:
Date:
Program 9 - 4
DETAILS OF QUARRY OPERATIONS Mine Operation Name Type of Operation Surface Open Cut Processing Plant LOCATION DETAILS Street & No Suburb / Town Nearest Cross Road GPS Coordinates Lat: CONTACTS Primary Contact Secondary Contact After Hours Contact Maximum Number of People on site DETAILS OF WORK UNDERTAKEN Phone: Phone: Phone: Long: Underground Other:
PLANT & EQUIPMENT ON SITE
CHEMICALS / FUELS / EXPLOSIVES ON SITE
EMERGENCY EQUIPMENT ON SITE
OTHER INFORMATION
Name
Signature
Date
Approver:
Date:
Program 9 - 5
FORM 9C SITE PLAN
Approver:
Date:
Program 9 - 6
FORM 9D
FIRST AID OFFICERS

Name Qualification Date issued Expire Date
Approver:
Date:
Program 9 - 7
SERIOUS ACCIDENT / MEDICAL EMERGENCY
FIRE
Check area for danger
Only attempt to extinguish fire if safe to do so
Notify 1st Aider
Evalute injured person(s)
Evacuate the Danger Area move all plant from the area if safe
Administer 1st Aid
Isolate the power supply if safe to do so
Evacuate the area (if necessary)
Dial 000 OR 112 (mobile)
Stay at phone or radio
Notify ______________ Senior Person on Site
Determine what assistance is required
Dial 000 OR 112 (mobile) (If not already Done)
Take notes of events
Contact the Department of Primary Industries Mine Safety
Approver:
Date:
Program 9 - 8
10.0 MAINTENANCE (MOBILEFIXEDELECTRICAL)

This program contains two sections, Mobile & Fixed Plant 10.0 (A) and Electrical Equipment 10.0 (B).
10.0 (A) MOBILE & FIXED PLANT

10.1 AIM: The aim of this program is to provide a system that allows all mobile and fixed plant to be regularly inspected and maintained. All maintenance will be recorded to provide a history of work completed and to enable better planning of scheduled maintenance. 10.2 WHAT: This maintenance program includes all the pieces of plant contained in the Mobile Plant and Fixed Plant section of the Plant Register (FORM 10A). 10.3 WHO: The people responsible for completing maintenance activities are listed on the Maintenance Schedule (FORM 10A). 10.4 HOW: The _______________________ will be responsible for developing a full list of plant and equipment on site, known as a Plant Register (FORM 10A). Once the plant register is completed the _______________________ will then allocate the type of maintenance and the frequency of maintenance to be completed on all mobile plant. Maintenance will be performed according to the following methods: Pre start: Mobile - (FORM 10B) according to the type of plant. Fixed Plant (FORM 10 C) - according to the type of plant. Scheduled: According to the manufacturers service manuals or previously established systems (if service manuals are not available). Service manuals for each piece of plant and equipment are available and are located at ________________________. 10.5 WHEN: Maintenance will be conducted on each piece of plant as per the Plant Register & Maintenance Schedule (FORM 10A). These frequencies are based on information obtained from the respective plant service manuals.
Doc: 11.0 Accident & Incident Reporting
Approver:
Date:
Program 11 - 1
10.6 ACTION: If during the course of completing any pre start checks something is found not to meet the sites standards, then the person completing the maintenance will record it on (FORM 10B or FORM 10 C) and will notify ______________________ of the problem. If the problem is not fixed immediately then the hazard will be recorded in the daily diary or action plan. 10.7 DOCUMENT CONTROL: Each piece of mobile plant will have its own plant file/ record book located _______________________, (FORM 10D) Pre start: The _____________________ will be responsible for collecting the pre start maintenance forms and the ________________________ will be responsible for filing the documents in each plant file/book. Scheduled Maintenance: All scheduled maintenance will be recorded in the plant file/record book (eg attach completed supplier service sheets, where applicable), Breakdown Maintenance: All unexpected breakdown maintenance will be recorded on the plant file/ record book. External Service Provider: All documentation received during the course of completing service work by external service providers will be recorded in the plant file/record book.
Approver:
Date:
Program 11 - 2
FORM 10 A - Example
PLANT REGISTER & MAINTENANCE SCHEDULE

TYPE DETAILS
Rego Make Item number Serial number
TYPE OF
Pre start Scheduled
FREQUENCY
WHO
Performs maintenance
FORMS
To be used
MAINTENANCE Of maintenance
MOBILE eg Loader Loader Cat 966C # 2 Cat 966C # 2 Pre start Regular Service Daily 250 hour Operator Mechanic FORM 10 B Service Manual
FIXED PLANT eg Screen Power Screen #1 Scheduled Weekly, tonnes Operator & FORM 10 C or hours? Pump Settling Dam Scheduled Quarterly Mechanic Mechanic Service Manual
ELECTRICAL eg Motor #1 Jaw Crusher Scheduled Weekly Electrician

Site Inspection sheet
Switchboard
Control Room
Scheduled
Annual
Electrician
AS/NZS 3019 Form 2
Flexible leads
Whole of site
Scheduled
3 & 6 monthly
Electrician competent person
or
AS/NZS 3760 Table 4
Approver:
Date:
Program 11 - 3
FORM 10 A
REGISTER & MAINTENANCE SCHEDULE

TYPE DETAILS
Rego Make Item number Serial number
TYPE OF
Pre start Scheduled
FREQUENCY
WHO
Performs maintenance
FORMS
To be used
MAINTENANCE Of maintenance
MOBILE
FIXED PLANT
ELECTRICAL
Approver:
Date:
Program 11 - 4
FORM 10 B EXAMPLE
MOBILE PRESTART CHECK SHEET
Vehicle details = OK Mon Date: Operators Name: Start Hours: Priority HIGH Faults. The machine must be tagged OUT OF SERVICE and NOT operated until repaired. Report to ________ Normal Brake Emergency Brake Park Brake Normal Steering Emergency Steering Warning Lights/Alarms Guards Hydraulic Controls Seat Belt Priority MEDIUM Faults. _________________ Authorisation required before operating machine Body / Bucket damage Bolts / nuts Pins and Brushes Oil Leaks Reverse Warning Device Water Leaks Fuel Leaks Air Leaks Horn Lights Gauges CB / 2Way Radio Fire Extinguisher Priority LOW Faults. Repairs required report to ______________________ Windscreens/Windows Air conditioner Steps / Access / Handrails Mirrors Wipers / Washers Flashing Lights Oils Tyre Inflation / Condition Rims Fluids All vehicles shall be refuelled and fluids checked before use Fuel Transmission Oil Hydraulic Oil Steering Oil Brake fluid Radiator Fluid / Coolant Engine Oil Lts Lts Lts Lts Lts Lts Lts = Fault Tues Wed n/a not applicable Thur Fri Sat Sun
Date
Fault Description
Priority (CIRCLE)
Actions taken to Rectify
Date Completed By who
H H H
M M M
L L L
Approver:
Date:
Program 11 - 5
FORM 10 C - EXAMPLE
FIXED PLANT - PRESTART CHECK SHEET
Plant details = OK = Fault n/a not applicable
Mon Date: Operators Name: Start Hours:
Tues
Wed
Thur
Fri
Sat
Sun
Priority HIGH Faults. The machine must be tagged OUT OF SERVICE and NOT operated until repaired. Report to ________ Guards Tail drums Idler rollers Other nip points Lanyards Emergency Stops Electrical wiring Warning Lights/Alarms Pre-start warning device (if fitted) Major structural damage Conveyor Belt condition Priority MEDIUM Faults. _________________ Authorisation required before operating machine Hydraulic hoses Minor structural damage Spillage interfering with operation Communication systems Belt tracking correctly Fluid leaks
Priority LOW Faults. Repairs required report to ______________________ Windscreens/Windows Air conditioner Steps / Access / Handrails Mirrors Housekeeping Fire Extinguisher Damaged signage Safety equipment Fluids All vehicles shall be refuelled and fluids checked before use Hydraulic oil check Engine oil check Fuel level check Water level radiator - check
Date
Fault Description
Priority (CIRCLE)
Actions taken to Rectify
Date Completed By who
H H H
M M M
L L L
Approver:
Date:
Program 11 - 6
FORM 10 D
RECORD OF MAINTENANCE WORK PLANT DESCRIPTION ___________________ (name of plant)

DATE Work DESCRIPTION - of work completed Work Completed by 5000 hour service as per service schedule Estimated Cost
was completed eg 25/12/2002
Approver:
Date:
Program 11 - 7
10.0 (B) ELECTRICAL INSTALLATION & MAINTENANCE

10.8 AIM: The aim of this program is to provide a system that allows all electrical plant and equipment that is used on site to be designed, installed, operated and maintained in a safe manner and in accordance with AS/NZS 3007 and AS3000. It also ensures that all electrical equipment is maintained by competent persons who hold appropriate qualifications. 10.9 WHAT: Our electrical installation and maintenance program relates to all electrical equipment listed on the Plant register (FORM 10A) and it will manage all activities associated with the installation and maintenance of this equipment. 10.10 WHO: The people responsible for completing electrical maintenance activities are listed on the Maintenance Schedule (FORM 10A) or nominated below. 10.11 HOW: This electrical program is divided into the following sections: a. Competencies All electrical work will be performed by our electrician __________________, who has supplied us a copy of his trade certificate and a copy of his Qualified Supervisor certificate. He has also provided a record of skills and experience in using these qualifications and his most recent work, which demonstrates his competency. Our extra low voltage (< 120 volts DC) automotive work will be performed by __________________, who has been assessed as competent. Because our total connected power exceeds 1000kW or our power supply is high voltage (>1000 volts) we intend to get a qualified electrical engineer __________________ to periodically review our electrical installations, (remove if not applicable). b. Risk assessment An electrical risk assessment will be completed to identify all hazards associated with the use of electricity. A starting point for the risk assessment will be the development of an electrical equipment register as per FORM 10A. This ensures we have identified all electrical equipment.
Approver:
Date:
Program 11 - 8
Our risk assessment will be completed by __________________ and our electricians representative ___________________, using the electrical risk assessment (FORM 10 E, example). Once completed all identified hazards will be risk rated and appropriate controls will be documented as site standards and put in place. c. Equipment All new circuitry and modified circuitry will be tested in
accordance with AS 3000 & AS 3007, with a compliance certificate supplied to the operator of the mine before the application of power, (FORM 10F example). The test results will be recorded on the compliance certificate or on a separate form attached to the compliance certificate. Our electrical circuit diagram will also be updated to reflect the changes. Maintenance of our electrical equipment will be performed as per the Maintenance Schedule (FORM 10A). An example of an electrical maintenance program has been supplied on (FORM 10 G). This can be used to develop your own schedule. A record will be kept of the maintenance activities performed on electrical equipment. d. Systems of work Our mine will have a number of SWMSs that will control the following activities; (Electrical contractors will be required to conduct risk assessments and submit SWMSs for the work they are going to perform). i. Electrical isolation procedure, including a test before you touch procedure ii. Removal and restoration of power iii. Electric Shock protocol
Note: To download (http://www.dpi.nsw.gov.au/minerals/safety/resources/electrical-engineering/guidance-material)
10.12 WHEN: Maintenance will be conducted on each piece of plant and equipment as per the Plant Register & Maintenance Schedule (FORM 10A). These frequencies are based on information obtained from the respective plant service manuals and discussions with our electrician.
Approver:
Date:
Program 11 - 9
10.13 ACTION: If during the course of completing the initial electricity risk assessment something is found not to meet the sites standards, then the person completing the assessment will record it on (FORM 10E) and will notify ______________________ of the problem. If the problem is not fixed immediately then the hazard will be transferred into the daily diary or action plan 10.14 DOCUMENT CONTROL: Larger pieces of electrical equipment may have there own plant file/book located _______________________, (FORM 10C). Where the site has a number of small electrical appliances all maintenance will be recorded in a single file/book (FORM 10C). Scheduled Maintenance: All scheduled maintenance will be recorded in the plant file/book (eg attach completed supplier service sheets, where if applicable). Breakdown Maintenance: All unexpected breakdown maintenance will be recorded on the plant file/book. External Service Provider: All documentation received during the course of completing service work by external service providers will be recorded in the plant file/book. REFERENCES (NSW) Mine Health & Safety Regulation 2007 Clause 14(b), Clause 42, Clause 61, Clause 67 (NSW) Occupational Health & Safety Regulation 2001 Clause 9(2)(c), Clause 42, Clause 65, Clause 137 Minerals Industry Safety Handbook 2002 Chapter 5.4 Maintenance and Repairs
Approver:
Date:
Program 11 - 10
FORM 10 E
Mine : Electrical Contractor Representative : Date:
Category
ELECTRICTY RISK ASSESSMENT

Inspection Area : Site Representative :
Risk Assessment Questions H
Risk M L
Audit Observations Controls
Systems
Management Is there an electrical maintenance plan? (should include an electrical register) Does the maintenance plan refer to compliance with AS 3000 and AS 3007? Does the electrician issue a statement of compliance for new installations? (section 8 tests performed AS/NZS 3000:2007) Is there an electric shock protocol? If HV is delivered to the site is there a high voltage management plan as required by the local supply authority service rules? Is there electrical circuit diagrams on site and available for use? Is there an isolation system (tag out / lock out)? (including documented procedure) Does it include a test before you touch policy and procedure? Is there a removal and restoration of power procedure? (SWMS) Is there a No Live Work policy at the mine? Is there a written Live Testing Policy at the mine?
Isolation
Competencies
Tradesperson Is electrical work only conducted by qualified persons? Has the site obtained copies of the electricians qualifications? Has the electrician been given a site induction? Does the site induction include the site isolation procedures? Does the site induction include the site removal and restoration of power procedures? Does the site induction include the site the Test before you touch policy? Does the site induction include the site policy for No Live Line Work?
Doc: 10.0 Maintenance
Approver:
Date:
Program 10 - 11
Category
Risk Assessment Questions H Does the site induction include the site Live Testing Policy? Does the site induction include the sites Electric Shock Protocol?
Risk M L
Employees
Do mine workers know the electric shock protocol? Have mine workers been trained in the isolation procedure? Have mine workers been trained in the Removal and Restoration of Power procedures?
Equipment
General Are all installations appropriately IP rated to prevent ingress of contaminants? Are all cables routed so as to protect them against physical damage? Are all cables supported to prevent strain? Have all redundant cables been removed or terminated properly? Is permanent equipment supplied by extension leads? (It should not be) Have OHLs (Over Head Lines) been assessed to confirm clearances, signage and exclusion zones? Are all OHLs drawn on a site plan, including clearances and isolation points? There should be no stockpiling, loading or storage of material and equipment under OHL. Have local authorities been contacted to confirm clearances? (clearance depends on voltage) Does your emergency procedure include OHL emergencies? Are power lines, poles and transformers included in workplace inspections? Are all cabinets labeled to highlight no unauthorised access? Are all cabinets labeled with the maximum contained voltage? Do all cabinets require the use of a tool to access live terminals >50 volts? Are all cabinets clean and in good physical condition. Are portable 240volt generators provided with earth stakes ? Are controls placed on the use of tools powered from generators without RCDs? (eg no earthed device, max. of one double insulated device) Is there earth leakage protection? ( refer to NSW DPI - EES 014 Generator principles) Is there no earth electrode? Is equipotenial earth bonding provided?
OHL
Unauthorised access
Generators < 25kW (portable -stand alone) Generators > 25kW (mobile-stand alone)
Approver:
Date:
Program 10 - 12
Category
Risk Assessment Questions H
Risk M L
Large Generators with fixed installations Earthing
Was system design by a professional electrical engineer? (Requirement for earth stake depends on design system utilized)
Have earthing arrangements for the site been tested and confirmed compliant to AS/NZS3000 and AS3007? Are the electrical protection arrangements suitable for detecting and clearing all faults so as to maintain touch potential clearance times to as AS/NZS3000:2007 Fig. 4B Are all socket outlets protected by 30mA RCDs in accordance with AS/NZS3000? Is there documented evidence that electrical tests are performed and recorded in accordance with AS/NZS 3000? Are tools and extension leads tested and tagged in accordance with AS 3760? ( min 6 monthly, depends on exposure) Has the mine considered hand tools powered by energy source other than mains power? Do procedures (SWMS) exist to control welding activities? (AS 1674.2) Are welders regularly inspected and tagged by your electrician? Are HRD (Hazard Reduction Devices) fitted to welders? VRD (Voltage Reduction Device), or Trigger Switch, or Open Circuit Safety Switch Does the mine restrict electric welding to qualified persons? Are people trained in electric welding and assessed as competent?
Hand Held Tools
Welding
Approver:
Date:
Program 10 - 13
FORM 10 F EXAMPLE CERTIFICATE OF COMPLIANCE
Approver:
Date:
Program 10 - 14
FORM 10G EXAMPLE OF AN ELECTRICAL MAINTENANCE SCHEDULES FOR A PROCESS PLANT
PROCESS PLANT
DESCRIPTION OF PLANT AND MAINTENANCE TASK. FREQUENCY OF MAINTENANCE TASKS SCOPE OF MAINTENANCE TASK
Control panel power supply cable External examination Condition monitoring Overhaul / replace Control / distribution panels External examination Internal examination Condition monitoring Condition monitoring Overhaul Protection systems Operational function test Operational function test Operational function test Internal examinations Calibration Calibration Electrical protection grading Overhaul / replace Motors Internal examination External examination Lubrication Internal examination Condition monitoring Condition monitoring Overhaul
Monthly 6 Monthly As required Monthly 6 Monthly 12 Monthly 12 Monthly As required Monthly Monthly 6 Monthly 12 Monthly 12 Monthly 12 Monthly As required As required
External inspection Insulation and continuity tests As determined by inspections & electrical tests External inspection Internal inspection Insulation and continuity tests Thermograph study Accessible areas As determined by examinations & electrical tests Fire detection system - Conducted by external specialists Belt slip, signal line, brake lift, blocked chute, man on belt, tracking limits, emergency stops Earth leakage test Internal inspection Mechanical devices (tracking switches), junction boxes (slip, blocked chute etc.) Certification of performance of earth leakage, overload & short circuit specialised task Certification of fire detection system specialised task Determined by fault level/load flow study As determined by examinations, electrical tests, certification process or failure Carbon brush examination replace as required External inspection Grease motors-type and quantity of grease specified Internal inspection Insulation and continuity tests Thermograph study Accessible areas As determined by examinations & electrical tests
Weekly Monthly 6 Monthly 6 Monthly 6 Monthly 12 Monthly As required
Approver:
Date:
Program 10 - 15
PROCESS PLANT
Motor supply cable External examination Internal examination Overhaul / replace Vibratory Feeders External examination Calibration Internal examination Condition monitoring Overhaul Overhead crane External examination Lubrication Internal examination Condition monitoring Lubrication Overhaul Field devices External examination Operational function test Lubrication Calibration Internal examination
Monthly 12 Monthly As required Monthly 6 Monthly 12 Monthly 12 Monthly As required
External inspection Internal inspection As determined by examinations & electrical tests External inspection Confirmation of feeder stroke setting specialised task Internal inspection general condition Insulation and continuity tests As determined by examinations & electrical tests External inspection Grease motors-type and quantity of grease specified Internal inspection general condition connections, contamination ingress Insulation and continuity tests Grease motors with specified grease As determined by examinations & electrical tests External inspection Confirm effective operation ie emergency stops, isolators, indicators etc. Lubrication of moving mechanical parts Certification of belt coal weigher operating parameters specialised task Internal inspection Marshalling boxes, welding outlets, conveyor belt winding outlet connections , contamination ingress Internal inspection As determined by examinations & electrical tests External inspection Internal inspection Conducted by external specialists Conducted by external specialists Conducted by external specialists
Monthly 3 Monthly 12 Monthly 12 Monthly 6 Monthly As required Monthly Monthly 3 Monthly 6 Monthly 6 Monthly
Internal examination Overhaul / replace Air conditioning systems External examination Internal examination Operational function test Service / Overhaul
12 Monthly As required 6 Monthly 12 Monthly 12 Monthly 12 Monthly
Approver:
Date:
Program 10 - 16
PROCESS PLANT
General power & lighting circuits External examination Condition monitoring Operational function test Calibration Internal examination Internal examination Overhaul / replace Metal Structure earthing External examination Condition monitoring
Monthly 6 Monthly 12 Monthly 12 Monthly 12 Monthly As required As required Monthly 24 Monthly
External inspection Insulation and continuity tests Audit performance of circuits and report. Circuits protected by RCDs test RCDs for trip current and time Internal inspection distribution board(s) connections, contamination ingress Electrical fixtures Carried out at time of repair As determined by examinations & electrical tests. External inspection Earthing resistance test conducted by external specialists
Approver:
Date:
Program 10 - 17
Approver:
Date:
Program 10 - 18
Approver:
Date:
Program 10 - 19
11.0 ACCIDENT & INCIDENT REPORTING
11.1 AIM: The aim of this program is to ensure that all accidents and incidents are reported and recorded in a standard format. This allows the site to take positive action to prevent a repeat of the incidents. The program also contains a procedure that will allow the operator to determine which accidents and incidents will be investigated. 11.2 WHAT: The following accidents and incidents will be reported as required by this program.
First Aid Injuries Near Misses Notifiable Incidents Death of a person
Restricted Duties Off Site Medical Treatment Lost Time Injuries Serious Injuries
11.3 WHO: It is the responsibility of the person who has been injured to report the accident or incident. The ________________________ will be responsible for ensuring that the forms are filled out correctly and that they are forwarded to the correct people, eg Government Agency and our workers compensation insurer ___________________. 11.4 HOW: Internal Reporting Record Keeping All injuries, no matter how big or small will be recorded in the register of injuries that is located ________________________, (FORM 11A) External Reporting to Government Agency It is generally a requirement by Government Agencies that information about accidents, incidents, near misses, injuries and deaths at mine sites are reported to that Government Agency within specified time frames eg the NSW DPI requires the notification of deaths, prescribed injuries, notifiable incidents on a prescribed form within prescribed times. NSW
Approver:
Date:
Program 11 - 1
DPI also requires certain types of workplace injuries to be reported using the MHSR Quarterly Workplace Injury Report and faxed to the nearest DPI office within 30 days after the end of each quarter ending 31 March, 30 June, 30 September and 31 December. 11.5 WHEN: All accidents and incidents will be recorded on the appropriate forms at the earliest possible time after the event. All documentation will be kept for a minimum of 5 years. The _____________________ will discuss any accident or incident reports at the safety meetings to ensure that everyone is aware of the outcomes of the investigations. 11.6 ACTION: The _________________ will review all accident and incident reports and will decide on which events will be investigated. The investigation will be completed by ___________________ & ___________________ using (FORM 11B section C & D). The results of the investigation will be discussed at the next safety meeting and the _________________ will make sure that any identified hazards are recorded on an action plan or daily diary and are completed and signed off. 11.7 DOCUMENT CONTROL: including All information relating Agency to accidents, will incidents be filed or in
investigations,
Government
forms,
____________________ located ______________________. REFERENCES (NSW) Mine Health & Safety Act 2004 Part 7 Notification of certain incidents (NSW) Mine Health & Safety Regulation 2007 Part 10 Division 2 Notifications of certain incidents Minerals Industry Safety Handbook 2002 Chapter 1.7.1.4 Injury/Illness Reporting and Records, Chapter 2.4 Accident Investigation
Approver:
Date:
Program 11 - 2
FORM 11A
REGISTER of INJURIES
Date/Time Name Address Age Occupation Description
(what, where, how)
Treatment given
Outcome RTW, home medical/hospital
Lost time Y/N
First aiders initials
Supervisor informed
(who, when)
(This form may be used or an alternative such as a pre-printed book, exercise book however, to meet statutory requirements, ALL of the above information must be recorded.)
RTW = Return to Work
Approver:
Date:
Program 11 - 3
FORM 11 B
ACCIDENT / INCIDENT REPORT & INVESTIGATION FORM

Report No.____________
SECTION A: WHO was injured (or involved in the incident)?__________________________________________________________________________________ SURNAME NAME WHO were the witnesses? ______________________________________________________________________________________________________ WHO was the supervisor? ______________________________________________________________________________________________________ WHO was the accident / incident first reported to?_____________________ Time ______________________________ Date _______________________ WHEN did the accident / incident occur? Time________________________ Date __________________________________________________________ WHERE did the accident /incident occur (be specific) ______________________________________ Dept.______________________________________ HOW did the accident / incident occur? ____________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ WHAT was the injury? (if none N/A) ____________________________________________________ Part of body.________________________________ WAS the employee referred to Doctor? ______________Hospital _________________________________ Returned to work _______________________ Other_______________________________________________________________________________________________________________________ Is this a lost time injury? Yes/No Signed (First Aider)____________________________________________________________________________________________________________
Approver:
Date:
Program 11 - 4
SECTION B
INVESTIGATION BY SENIOR PERSON ON SITE or DELEGATE
HOW and WHY did the accident / incident happen (explain how and what the employee was doing and with what) ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ WAS the situation foreseen in the Safe Work Procedure _______________________________________________________________________________
SECTION C
ACCIDENT / INCIDENT CAUSE ANALYSIS
Report No.
(If more space is required please attach extra pages to the back)
1. IMMEDIATE CAUSES Work environment and work practices (list each of the immediate factors that appear to have caused the accident eg machine unguarded, operator used wrong tool, forklift with tynes up, fumes ignited) 1. ________________________________________________________________________________________________________________________ 2. ________________________________________________________________________________________________________________________ 3. ________________________________________________________________________________________________________________________ 4. ________________________________________________________________________________________________________________________ 5. ________________________________________________________________________________________________________________________ 6. ________________________________________________________________________________________________________________________ 7. ________________________________________________________________________________________________________________________ 8. ________________________________________________________________________________________________________________________ 9. ________________________________________________________________________________________________________________________ 10. ________________________________________________________________________________________________________________________ 2. UNDERLYING (BASIC) CAUSES SYSTEMS FAILURES (eg inadequate training programs, inadequate work procedures, inadequate maintenance system, inadequate housekeeping system) ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ 3. GENERAL RECOMMENDATIONS (review systems identified above) ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________
Approver:
Date:
Program 11 - 5
SECTION D
SENIOR PERSON ON SITE PLAN / ASSESSMENT
ACTION PLAN
Whats to be done Whos to do it By when
COMMENTS (Please include a picture/diagram of accident / incident) ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________
Signature (Senior Person) ______________________________________________________________________________________________________ REVIEW AT SAFETY MEETING: Yes/No Date_______________________________Satisfactory? Yes/No
Approver:
Date:
Program 11 - 6
Approver:
Date:
Program 11 - 7
12.0 CONTRACTOR MANAGEMENT

12.1 AIM: Our contractor management program will allow the mine to control all visitors to the mine, including their plant and equipment. It will ensure that visitors, employees and contractors are suitably trained and equipped, and that their plant and equipment is safe and fit for purpose for the work being carried out.
12.2 WHAT: All people visiting the site, whether for private or commercial reasons, will be controlled by our contractor management program. This will be achieved by ensuring that all people are made aware of their health and safety requirements, including equipment standards.
Each category of visitor/contractor will be controlled according to the level of risk they will be exposed to on site.
12.3 WHO: People who enter the site and do not go past the ___________________ will be controlled by way of our entry signs and are not required to complete any form of induction.
If people proceed past the ___________________, they will be managed depending on their category. Table 1 indicates who will be able to complete the various types of induction.
ALL NEW EMPLOYEES WILL BE CONSIDERED A MEDIUM RISK. THEY WILL COMPLETE AN INDUCTION WHEN THEY START WORK.
12.4 HOW: Each contractor/visitor will be assessed against the following table to determine the type of induction required. If the company representative believes the contractor/visitor may be exposed to a higher risk category, than nothing shall prevent him from insisting that the contractor/visitor complete a higher category of induction.
Contractors should participate in the consultation process as per Program 4 CONSULTATION.
Doc: 12.0 Contractors &Visitor Management
Approver:
Date:
Program 12 - 1
VISITOR TYPE Low risk
WHO (example)
TYPE OF CONTROL
BY WHO
FREQUENCY
FORM
Visitors Salespersons Industry reps Govt Officers Office equipment, cleaners & catering contractors Family
Site rules (verbal) Stay in company of employee PPE Visitors book Other_________________
Anyone trained
Per visit
FORM 12A
FORM 12B
Medium risk
Trucking contractors Electrician Boilerrmaker New employees
Site induction Evidence of competency Insurances PPE Check equipment Copy of SWMSs Other __________________
PM or trained person
Once a year
FORM 12C section 1
High risk
Major contractors Drilling/Blasting Contract Crushing Project work
As per medium risk, plus Approved contractor safety management plan (if required) Other
Senior most Person in Management Structure
Per project
FORM 12C section 1&2
Any activity considered high risk
__________________
Table 1: Visitor risk categories
12.5 WHEN: Each person entering the mine will be controlled by the induction program suitable to their risk, at a frequency according to the table above. A refresher course will be conducted __________________ by ______________________ to notify contractors/employees of any changes to the MSMP. Prior to engaging a contractor of High Risk they will undergo an assessment as per Form 12 D Contractors Assessment. Contractors on site will be inspected as per Program 6.0 WORKPLACE INSPECTION & HAZARD REPORTING
12.6 ACTION: If during the course of completing an induction, the visitor/employee/contractor brings to the attention of the company representative any additional hazards or issues, the company representative will bring these issues to the attention of the next safety meeting as per Section 6 of the MSMP.
Doc: 12.0 Contractors &Visitor Management Approver: Date: Program 12 - 2
12.7 DOCUMENT CONTROL: All inductions completed under medium risk and high risk categories will be signed by the employee/contractor and the
______________________ will transfer their name onto the induction register. Each person being inducted will keep a copy of the site safety rules. The induction form will be filed with the induction register __________________________.
REFERENCES (NSW) Mine Health & Safety Act 2004 Section 30(3)(b), Section 32(b), Subdivision 4 Duties regarding contractors, Section 63, Section 64 (NSW) Mine Health & Safety Regulation 2007 Clause 29 (NSW) Occupational Health & Safety Act 2000 Section 8 (NSW) Occupational Health & Safety Regulation 2001 Clause 13(1), Clause 171(b) Minerals Industry Safety Handbook 2002 Chapter 3.5.5 Specific Training Requirements, Chapter 1.6 Contractor Management
Approver:
Date:
Program 12 - 3
FORM 12 A
_________________ - SITE SAFETY RULES

Thank you for visiting our site.
While you are visiting our mine we are responsible for your health and safety. These site rules summarise the work practices that apply to our mine. The nominated company representative will read through this document with you and will discuss any issues that arise.
THE PERSON RESPONSIBLE FOR YOUR SUPERVISION IS ______________________
A FIRST AID KIT IS LOCATED ______________________ AND ___________________ IS TRAINED IN FIRST AID
IN THE CASE OF AN EMERGENCY, GO TO ______________________ AND FOLLOW THE EMERGENCY PROCEDURE
YOU CAN ONLY VISIT THOSE AREAS AS DIRECTED BY THE COMPANY EMPLOYEE
YOU MUST WEAR PERSONAL PROTECTIVE EQUIPMENT (PPE) AS INDICATED BY THE SIGNS ON SITE OR AS INDICATED BY THIS SAFETY PLAN
YOU MUST REPORT TO ________________________ WHEN YOU ARRIVE ON SITE
PLEASE BE AWARE OF MOBILE PLANT AT ALL TIMES
OUR COMPANY POLICY ON CHILDREN ENTERING THE SITE IS ___________________________________________________________________
TRAFFIC WILL ABIDE BY THE SITE SPEED LIMIT, WHICH IS ____________________
IF YOU SEE ANY HAZARDS ON SITE PLEASE REPORT THEM IMMEDIATELY TO _________________________ AND RECORD THEM ON THE HAZARD REPORT FORM 6E
This document will be brought to the attention of all people entering the site.
Approver:
Date:
Program 12 - 4
FORM 12B
VISITORS BOOK
Date Name Company Person visiting and/or task to perform No. Hours Worked Prior Time in (Arrive) Time out (Depart) Signature On departure
Approver:
Date:
Program 12 - 5
FORM 12C
CONTRACTOR AND EMPLOYEE INDUCTION

This induction form is to be completed by any contractor/employee or visitor that is considered a medium risk or high risk. This form is to be completed by a suitably authorised person.
SECTION 1 To be completed by Medium Risk High Risk

(Circle Risk Category)
Contractors/Employee/Visitor Name: Name of Company or Trade Name: Contact Details: Date of Induction: Person Completing Induction: Type of Work being carried out: The following items will be discussed with the new contractor / employee: You need to check: ( The contractor/employee/visitor will receive a copy of the site rules Isolation procedure Drug and alcohol policy (Program 14) Traffic controls and restrictions Reporting of accidents and incidents (Program 11) Reporting of hazards (FORM 6E) Relevant SWMS (Safe Work Method Statements) (Program 8) Relevant MSDS (Material Safety Data Sheets) (Program 16) Other issues________________________ In addition, the following will be discussed with a new employee: Brief overview of company Conditions of employment Description of job Role and responsibilities of employee and supervisor (Program 2) The Senior Management or PM will discuss the contents of the MSMP (or summary of) with the employee Other issues ____________________________ or x )
Operating Equipment
Where a contractor is bringing equipment on to mine, the _____________________ will inspect the equipment the first time it arrives to ensure that it meets the mines equipment standards. The _____________________ will conduct regular inspections to confirm that the equipment is maintained to this standard.
Doc: 12.0 Contractors &Visitor Management Approver: Date: Program 12 - 6
You need to check: (
or x ) Have power tools been checked recently (tagged by electrician)? Flashback arrestors fitted to oxyacetylene equipment First aid facilities be available for the full duration of the job Are fire fighting facilities available?
Necessary licences/permits are held (record details) _________________________

_________________________
has assessed operator to be competent
Does mobile plant conform to site Standards?

ROPs CANOPY (except for Road Trucks, Drills, Excavator)? All safety guards fitted? Seatbelt fitted and in good condition? Fire extinguisher fitted and charged? Reverse alarm operational? All vehicle systems operational?
Has entry/exit to the site been agreed (after hours work)? HAS AN ASSESSMENT OF THE HAZARDS ASSOCIATED WITH THE WORK BEEN CARRIED OUT? SWMS PROVIDED MSDS
Other issues ___________________
I have reviewed and discussed the material in section 1 of this Contractor and Employee Induction with the company representative. Signed Contractor/Employee/Visitor: . Signed (Person providing induction): SECTION 2 To be completed by High risk only Date: .... Date ..
Where a contractor is conducting work that is classified as a high risk due to: the complexity and size of the project; the requirement for increased supervision; or the fact that the work requires greater technical knowledge. Senior Management may require the contractor to prepare and provide a Contractor Safety Management Plan of his own, that includes an assessment of risks associated with the work to be carried out by the contractor at the mine. I have supplied to _________________________ a copy of our Contractor Safety Management Plan and SWMSs. These documents include an assessment of the risks associated with the work to be carried out. Signed Contractor . Date: ...............
I have reviewed the Contractor Safety Management Plan using FORM 12D and SWMSs and found them to be acceptable. Signed Senior Manager on Site.
Doc: 12.0 Contractor & Visitor Management Approver: Date:
Date ..
Program 12 - 7
FORM 12D
ASSESSMENT OF CONTRACTORS SAFETY MANAGEMENT

This form is used to determine if a Medium or High risk contractor is suitable to use on the mine site. This includes an assessment of the Contractors Safety Management Plan.
Mine Details Contractors Name: ACN/ABN: Address: Project / Task Details Project / Task: Area: This has been developed in consultation with: Contractor Rep: Contact Name: Contact Position: Contact Phone No:
Activity:
Reviewed By: ____________________________ Position: ________________ Date:___/____/____ Resources / Trades Involved: Equipment Used: Maintenance Checks: Materials Used: Occupation Health & Safety or Environmental Legislation: Codes or Standards Applicable To The Works:
Doc: 12.0 Contractor & Visitor Management
Approver:
Date:
Program 12 - 8
REVIEW OF CONTRACTORS HEALTH & SAFETY PERFORMANCE Is the Questions Standard acceptable? Has the contractor provided their companys current health & safety polices? Has the contractor provided their companys current procedures?(SWMS) Has the contractor provided a copy of their employees competencies? Has the contractor provided a record their companys occupational health and safety performance? Has the contractor provided fit for purpose plant? Is the mine satisfied with the contractors health & safety performance? Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Comments
Reviewed by ________________
Signature: ________________
Date: ___ / ___ / ______
Approver:
Date:
Program 12 - 9
ASSESSMENT OF CONTRACTORS SAFETY MANAGEMENT PLAN Criteria Does the plan include an assessment of risks associated with the project / task? Does the plan include: 1. 2. 3. 4. 5. 6. Work process? Equipment to be used? A list of Standards or codes to be complied with? Record keeping of the project / task? Competencies of personnel doing the work? SWMS of all the work activities assessed as having risks? Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No If yes, a copy of the contractors plan will be stored _______________. The inspection matrix in Program 6 will be updated for compliance inspections of the contractor with their plan. Yes No Comments
Does the plan have a compatible and equivalent stand of risk assessment as program 5 of this MSMP? Is the plan up-to-date and maintained by the contractor? If subcontractors are to be used does the plan have a method for determining compliance with the plan? Have the personnel doing the work been inducted into the contractors plan?
Is the contractors plan accepted by the mine?
Yes
No
Assessed by :________________
Signature: ________________
Date: ___ / ___ / ______
Approver:
Date:
Program 12 - 10
Approver:
Date:
Program 12 - 11
Approver:
Date:
Program 12 - 12
13.0 TRAINING
13.1 AIM: The aim of this program is to ensure that all employees have the appropriate training and skills to work safely and competently. 13.2 WHAT: All employees and contractors will need to have the appropriate competencies to operate machinery and equipment at the mine. These competencies will be
checked and recorded. If employees have not yet achieved the required competency then a training program will be developed to obtain the appropriate competency level. 13.3 WHO: People who undertake the following activities will be given training:
_____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________
13.4 HOW: During the course of the Site Safety Meeting / toolbox meeting we will analyse the training needs of people employed at the mine. We will discuss the tasks that are performed at the mine and we will schedule training where it is deemed necessary. A training/competency register will be maintained for each employee (FORM 13B) and it will be filed in the employees personnel file. This register will list all training completed by the employee, including a record of all competencies (permits, tickets) that he/she holds, eg fork lift, first aid, loader ticket, crusher operation, induction. When a person has been deemed competent to operate mobile plant or other equipment, FORM 13B will be signed off and a record will be kept of how he/she was deemed to be competent. If an external provider is used then a record of the permit number will be recorded. 13.5 WHEN: All training requirements will be recorded on the Training Plan (FORM 13 A). A review our training requirements will be conducted as per the yearly plan (FORM 1A).
Doc: 13.0 Training
Approver:
Date:
Program 13 - 1
13.6 ACTION:
_____________________________ is responsible for maintaining the
training registers. 13.7 DOCUMENT CONTROL: Documents associated with this program shall be recorded on the Document Control Master List (FORM 3A).
REFERENCES (NSW) Mine Health & Safety Regulation 2007 Clause 14(d), Clause 32(1)(c) (NSW) Occupational Health & Safety Act 2000 Section 8(1)(d) (NSW) Occupational Health & Safety Regulation 2001 Clause 13 Minerals Industry Safety Handbook 2002 Chapter 3.5 Training and Development
Doc: 13.0 Training
Approver:
Date:
Program 13 - 2
FORM 13A
TRAINING PLAN - Example

Prepared by:_______________________________________________ Year :__________________________
Approved by: ______________________________________
Type of training First Aid
Employee Employee 1 Employee 2
Provided by ABC 1St Aid ABC 1St Aid Mine Manager Mine Manager TAFE
Completion Date 1/1/2006 1/1/2006 1/2/2006 1/2/2006 1/12/2007
When / Refresher 3 years 3 years 2 years 2 years
Expire Date 1/1/2009 1/1/2009 1/2/2008 1/2/2008
Rear Dump Truck Front End Loader Shotfirer
Employee 2 Employee 1 Employee 1
Doc: 13.0 Training
Approver:
Date:
Program 13 - 3
FORM 13B - Example
EMPLOYEE TRAINING / COMPETENCY REGISTER
Name ______________________________________
TRAINING / COMPETENCY PERMIT OR COMPETENCY NUMBER Induction UHL (Unsupervised Handling Licence) BEUL (Blasting Explosive User Licence) FEL Workcover ####@@@@ Workcover ####@@@@ National Competency Cert 1/12/2007 1/12/2006 1/12/2011 1/1/2006 1/1/2006 1/1/2007 1/12/2011 DATE ACQUIRED EXPIRY APPROVED BY
III ####@@@@@
Doc: 13.0 Training
Approver:
Date:
Program 13 - 4
14.0 FITNESS FOR WORK

14.1 AIM: The aim of this program is to protect people at our site from the harmful effects of alcohol, drugs and fatigue. We are committed to ensuring that all people working on our site are in a physical and mental state that will allow them to fulfil their work competently without putting themselves and others at risk. 14.2 WHAT: We intend to openly discuss and educate all employees and visitors on the mines policy on alcohol, drugs and fatigue. While we respect the consultation process we also intend to be very clear on our policy of preventing persons from working at the mine if they exhibit any signs of alcohol, drug use or fatigue that is likely to affect their ability to work safely. Alcohol and drugs Education and awareness Site Limits Testing Discipline Fatigue Education and awareness Hours of work Rest breaks Task rotation
14.3 WHO: The following persons are covered by this program:
Employees Contractors & Subcontractors Management Visitors _______________________________________________________________
14.4 HOW: To maintain a safe and healthy work environment we have agreed on the following procedures for dealing with alcohol, drugs and fatigue.
DRUGS Prescription drugs _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
Doc: 14.0 Fitness for Work
Approver:
Date:
Program 14 - 1
Illegal drugs _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
ALCOHOL Site Limit ______________________________________________________ Consumption of alcohol on site _______________________________________________________________ _______________________________________________________________
FATIGUE ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________
14.5 WHEN: All people involved with this program will be made aware of their requirements on induction. These limits are enforceable as of the date of induction. 14.6 ACTION: People believed to be exceeding the above limits of alcohol and other drugs will abide by our agreed disciplinary process: Drugs
_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ ______________________________________________________________.
Approver:
Date:
Program 14 - 2
Alcohol
_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ ______________________________________________________________.
Employees that are required to work beyond their set hours shall
_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
14.7: DOCUMENT CONTROL: All documents associated with this program shall be recorded on Document Control Master List (FORM 3A) and filed in __________________________. REFERENCES (NSW) Mine Health & Safety Regulation 2007 Division 2 Fitness for Work (NSW) Occupational Health & Safety Regulation 2001 Clause 9(2)(b) Minerals Industry Safety Handbook 2002 Chapter 3.6.2 Fitness for Work
Approver:
Date:
Program 14 - 3
15.0 HAZARDOUS SUBSTANCES/DANGEROUS GOODS
15.1 AIM: The aim of our hazardous substances/dangerous goods program is to identify all potential products that maybe hazardous at the mine. After identifying and assessing these products, controls will be developed, including ongoing monitoring programs. 15.2 WHAT: Regular site inspections will be conducted to identify products that are hazardous or dangerous. These products and any new products introduced to the mine will be recorded on the Hazardous Substances/Dangerous Goods Register (FORM 15A). Before a product or substance is introduced a current (within 5 years of the date of issue) Material Safety Data Sheet (MSDS) will be obtained.
Any product on Form 15A that has been eliminated from the site will be crossed off the form. All safety and environmental precautions listed on the MSDS are to be followed when using the substance and should be included in the appropriate Safe Work Method Statement (SWMS). ___________________ is responsible for considering the following when selecting chemicals and substances for use on site:
Flammability and exclusivity; Toxicity (short and long term); Carcinogenic classification if relevant; Chemical action and instability; Corrosive properties; Safe use and engineering controls; Environmental hazards; and Storage requirements.
All hazardous substances and dangerous goods will:
Be stored in accordance with the MSDS and legislative requirements. Be stored in their original containers with the label intact at all times.
Doc: 15.0 Hazardous Substances & DG
Approver:
Date:
Program 15 - 1
15.3 WHO: _______________________ is responsible for the site inspection, completing the Hazardous Substances/Dangerous Goods Register (FORM 15A), obtaining current MSDSs and ensuring they are available in the workplace. REMEMBER THAT CONTRACTORS USING HAZARDOUS SUBSTANCES OR DANGEROUS GOODS MUST BE IN POSSESSION OF CURRENT MSDSs APPLICABLE TO THEIR WORK. 15.4 HOW: By completing the Hazardous Substances/Dangerous Goods Register (FORM 15A), we will ensure that the controls required by the MSDS for a product are implemented and if needed recorded in the appropriate Safe Work Method Statement. 15.5 WHEN: Before a product or substance is used for a work activity, the Material Safety Data Sheet (MSDS) will be reviewed to determine if the product or substance is classified as hazardous. All persons involved in the use of products classified as hazardous, are provided with information and training to allow safe completion of the required task. 15.6 ACTION: If during the course of normal daily activities or during a workplace inspection, anyone becomes aware of a product that maybe hazardous or dangerous, then __________________ will be notified. The product will be recorded on the Hazardous Substances/Dangerous Goods Register (FORM 16A), and a MSDS obtained and the recommended controls implemented 15.7 DOCUMENT CONTROL: All documentation relating to the program (eg FORM 15A) will be filed _______________________________. REFERENCES: (NSW) Occupational Health & Safety Regulation 2001 Part 6.4 Use of hazardous substances (NSW) WorkCover Control of Workplace Hazardous Substances Code of Practice 2006 Minerals Industry Safety Handbook 2002 Chapter 4.14 Hazardous Substances
Approver:
Date:
Program 15 - 2
FORM 15A
HAZARDOUS SUBSTANCES/DANGEROUS GOODS REGISTER
Product name
Used For (application)
Quantity
Product labelled Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No No No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
MSDS No No No No No No No No No No No No No No No
Classified as Hazardous in the MSDS Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No No No No No If YES: The risks & control measures and precautions associated with the product will be outlined in the SWMS
Approver:
Date:
Program 15 - 3
16.0 REGISTERS
16.1 AIM: The registers program of this MSMP includes a series of documents that are generally used to record inspection results of specific parts of the operation. These registers may not be referred to in the main programs of the MSMP, however they are an integral part of recording regular inspection and maintenance checks. 16.2 WHAT: Registers will be developed for areas of the operation that require ongoing maintenance. The information that is recorded on these documents will act as a service history for each piece of plant or equipment. 16.3 WHO: The ______________________________ is responsible for controlling and maintaining the register system. 16.4 HOW: Registers will be developed with input from employees and where available, information supplied from relevant sources (eg trades persons, suppliers, service manuals, Australian Standards). 16.5 WHEN: These registers will be used as instructed by the senior site person, required by legislation or stated within programs. They are to be reviewed on an as need basis. 16.6 ACTION: The senior site person will approve and issue registers that are required to maintain a safe system of work. If not stated within a program, each register shall have the following format; a. b. c. d. Title Instructions of use Person responsible for maintaining the document A unique number to identify the document.
16.7 DOCUMENT CONTROL: All master registers published in this program are to remain part of the MSMP. This will allow for future use, when and if new plant or equipment is brought onto the mine. Registers that are used at the mine become controlled documents and must be recorded in the Document Control Master List (FORM 3A).
Doc: 16.0 Registers Approver: Date: Program 16 - 1
LIFTING GEAR INSPECTION CONTROL AND REGISTER- CHAINS
Register # ____________
Lifting equipment shall be inspected quarterly by ______________________________. The areas of inspection shall be as stated in the legend box. Equipment found unsafe shall be removed from service and ____________________________ informed of the findings.
1ST QUARTER LOCATION Check Action Check Action Check Action Check Action 2ND QUARTER 3RD QUARTER 4TH QUARTER LEGEND Chains 1. Twisted, stretched, bent 2. Nicked, gouged, cracked 3. Inter link & side barrel wear 4. Distorted/damaged master links 5. Distorted/damaged coupling links 6. Distorted/damaged attachments Hooks 1. Spread in throat opening 2. Cracked, nicked, chafed 3. Wear on eye 4. Wear on elevis 5. Wear on saddle 6. Wear on load pin 7. Side bending Shackles 1. General condition 2. Wear on pin 3. Max. mass load (SWL) marked Note Do not tick. Write OK. If the equipment is defective it must be tagged defective and must be reported to the person responsible for repairing the equipment. If the equipment is beyond repair it should be destroyed and discarded. New equipment to replace the discarded items must be provided to discourage the use of makeshift equipment. Corrective action (Indicate the action to be taken in the ACTION column by number as indicated below, specify the exact repairs to be done on a works requisition or job card) 1. None in good state of repair 2. Replace chain 3. Equipment to be cleaned 4. Fit safety latch on hook 5. Provide proper storage rack 6. Beyond repair discard 7. Other
ID No
Doc: 16.0 Registers
Approver:
Date:
Program 16 - 2
PERSONAL PROTECTIVE EQUIPMENT (PPE) REGISTER

Each person shall complete this register on issue of PPE. __________________________.
Register # ___________
This register shall be located _____________________ and maintained by
Name
PPE
Date issued
Date for renewal
Signature
Training provided
Doc: 16.0 Registers
Approver:
Date:
Program 16 - 3
HEALTH SURVEILLANCE REGISTER

pre-employment medicals, work related medicals, statutory medicals and worker compensation medicals
Register # ___________
Each person on site required to undergo any form of health surveillance shall be recorded on this register. The areas that this register may cover are
This register shall be maintained by ________________________________
Examination/test required
Name
Date notified
Date required
Next review date
Report review filed
Doc: 16.0 Registers
Approver:
Date:
Program 16 - 4
PREFERRED CONTRACTOR REGISTER
Register # ___________
This register lists the preferred suppliers of plant, equipment, products, labour and service. These suppliers have been chosen because of their management systems, knowledge of the product or service provided and commitment to safety. This list should be referred to whenever the services of contractors are required. This list is to be maintained by _____________________________
Name of contractor
Type of contractor
Date selected
Inducted
Safety Management Plan (SMP)
Doc: 16.0 Registers
Approver:
Date:
Program 16 - 5
EARTH LEAKAGE TESTING REGISTER
Register # ___________
The testing of earth leakage equipment is to be conducted as required by the Australia Standard ________________________and the results recorded on this form. The testing of earth leakage is to be conducted by a competent person. This register is to be maintained by
__________________________
Equipment tested
By
Test at .. milli amps (mA)
Date
Result
Doc: 16.0 Registers
Approver:
Date:
Program 16 - 6
FIRE FIGHTING EQUIPMENT TESTING REGISTER
Register # ___________
All fire fighting equipment on site shall be inspected as required by the Australia Standard __________________________. Testing shall take place by a competent person and recorded on this register. This register shall be maintained by ____________________________________.
Equipment
Location
Test by
Test preformed
Date
Result
Doc: 16.0 Registers
Approver:
Date:
Program 16 - 7
EMERGENCY EQUIPMENT TESTING REGISTER

register. This register shall be maintained by _______________________________________.
Register # ___________
A competent person shall inspect all emergency equipment at an interval of _______ per year, with the results of the inspection documented on this
Equipment
Location
Checked by
Date
Result
Doc: 16.0 Registers
Approver:
Date:
Program 16 - 8
ELECTRICAL TOOL AND EXTENSION LEAD REGISTER
Register # ___________
All electrical tools and extension leads shall be inspected and tagged by a competent person to ensure they are safe for operation. The results of these inspections shall be recorded in this register or a register supplied by the competent person. ___________________. This register shall be maintained by ______________________________ Equipment shall be inspected
Equipment #
Location
Test by
Test results
Date
Retest date
Doc: 16.0 Registers
Approver:
Date:
Program 16 - 9
INDUCTION REGISTER
This register is to be maintained by _____________________________________
Register # ___________
All employees and contractors that undergo a site induction in accordance with Program 12 shall be recorded on this register.
Name
Employee/Contractor
Type of induction
Date
Person completing induction signature
Doc: 16.0 Registers
Approver:
Date:
Program 16 - 10

Small Mine Safety Kit Part 2

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Small Mine Safety Kit Part 2

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PART 2:

SAFETY MANAGEMENT PLAN TEMPLATE

1.0 POLICY & PLANNING

__________________________ Management __________________________ Employee Representative

_________________ Date _________________ Date

Doc: 1.0 Policy & Planning

Doc: 1.0 Policy & Planning

YEARLY SAFETY PLAN EXAMPLE

Completed / Signed Off

Doc: 1.0 Policy & Planning

YEARLY SAFETY PLAN Year __________

Completed / Signed Off

Doc: 1.0 Policy & Planning

Example of Mine Plan

Gradient 1:10 STAGE 5 STAGE 3

Width 5.0 m Bunding 1.5 m

Haul Road design

Drawn By : _________________ Approved By: _______________ Date: ______________________

Doc: 1.0 Policy & Planning

Mine Plan - _______________ (mine name)

Haul Road design

Normal Working Design

Drawn By : _________________ Approved By: _______________

Doc: 1.0 Policy & Planning

2.0 MANAGEMENT STRUCTURE including RESPONSIBILITIES

Doc: 2.0 Responsibilities & Accountabilities

Responsibilities & Accountabilities

Doc: 2.0 Responsibilities & Accountabilities

Doc: 2.0 Responsibilities & Accountabilities

Doc: 2.0 Responsibilities & Accountabilities

Production Manager ___________________

Supervisor/Team Leader ___________________

Supervisor/Team Leader ___________________

OTHER ___________________ ___________________

Doc: 2.0 Responsibilities & Accountabilities

Register of persons occupying positions in the Management Structure

Production Manager Permit number 007

Doc: 2.0 Responsibilities & Accountabilities

3.0 DOCUMENT CONTROL

Doc: 3.0 Document Control

Doc: 3.0 Document Control

DOCUMENT CONTROL MASTER LIST

Doc: 3.0 Document Control

3.0 DOCUMENT CONTROL

Refer to _________________ Document Controller

Does the document need to be revised or updated???

Does the document exist????

Document is revised or updated No

Refer to _________________ Document Controller

Obtain/Design new document

Tell ________________ Document Controller

Make copies and/or use the document

File Completed Documents) In ___________________

Doc: 3.0 Document Control

Doc: 4.0 Consultation

Doc: 4.0 Consultation

AGENDA ITEM 1. Welcome & Apologies

5. Review of hazards / incidents since last meeting (check diary)

Doc: 4.0 Consultation

7. Review any results of any workplace safety inspections (check diary)

8. Review of one SWMS and one MSMP program

10. Next meeting Distribution of these minutes Date: Name: Name:

Date & Time: 1. File

Management Employee Representative

_ Date _ Date

Drawn By : _________ Approved By: _ Date: ________________

Drawn By : ___ Approved By: _

OTHER _ _